Provider Demographics
NPI:1245539055
Name:WHELAN-GALES, MARY ANN (DNP)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:WHELAN-GALES
Suffix:
Gender:F
Credentials:DNP
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1030
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-7911
Mailing Address - Fax:212-348-1256
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BOX 1030
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-7911
Practice Address - Fax:212-348-1256
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF30-302264363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health